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Processing Month: 11-23 5670

Association Number: 500318

PAYARC LLC
411 W PUTNAM AVE Merchant Number: 567000000776898
SUITE 340
GREENWICH CT 06830 Routing Number: xxxxx0247

Deposit Account Number : xxxxxx1966

MARIA D HERNANDEZ
15106 SUNNINGHILL AVE Amount Deducted: $41.67
BAKERSFIELD CA 93314-4292

Plan Summary
Plan Number of Amount of Number of Amount of Net Average Disc Disc Discount
Code Sales Sales Credits Credits Sales Ticket P/I % Due

VS 13 $1,668.00 00 $.00 $1,668.00 $128.31 $.00

MC 01 $30.00 00 $.00 $30.00 $30.00 $.00
JC 00 $.00 00 $.00 $.00 $.00 $.00
AM 00 $.00 00 $.00 $.00 $.00 $.00
DS 01 $138.00 00 $.00 $138.00 $138.00 $.00
DB 00 $.00 00 $.00 $.00 $.00 $.00
** 15 $1,836.00 00 .00 $1,836.00 $122.40 $.00

Deposits
Reference Tran Plan Number of Amount of Amount of Discount Non
Settled
Day Number Code Code Sales Sales Credits Paid Settled

12 90001209073 D T 03 $470.00 $.00 $.00 $.00 $470.00

14 90001210946 D T 02 $338.00 $.00 $.00 $.00 $338.00
15 90001222176 D T 01 $30.00 $.00 $.00 $.00 $30.00
19 90001235893 D T 02 $355.00 $.00 $.00 $.00 $355.00
20 90001242133 D T 03 $270.00 $.00 $.00 $.00 $270.00
24 90001253176 D T 01 $138.00 $.00 $.00 $.00 $138.00
27 90001268463 D T 01 $130.00 $.00 $.00 $.00 $130.00
29 90001270233 D T 02 $105.00 $.00 $.00 $.00 $105.00
Deposit Totals 15 $1,836.00 $.00 $.00 $1,836.00

Fees
Count Amount Rate % Rate Per Item Description Fees Paid: Total

AUTHORIZATION FEES:
15 0.08000 Card Transaction Fees $.00 $1.20
Total Authorization Fees: $1.20
INTERCHANGE FEES / AMERICAN EXPRESS PROGRAM FEES:
02 $291.00 1.0500 0.15000 VS CPS Retail Check Debit $.00 $3.35
03 $630.00 2.1000 0.10000 VS VS Services CR $.00 $13.55
01 $25.00 1.9000 0.10000 VS VS Product 2 $.00 $.57
01 $50.00 2.3500 0.10000 Visa Signature Preferred Product 2 $.00 $1.28
06 $672.00 0.3000 0.22000 VS US Regulated Debit $.00 $3.36
01 $30.00 1.4000 0.15000 MC Merit 3 Prepaid $.00 $.58
01 $138.00 1.9900 0.10000 DS PSL Retail PR $.00 $2.85
Total Interchange Fees/American Express Program Fees: $25.54
TRANSACTION FEES:
08 0.05000 Batch Fees $.00 $.40
Total Transaction Fees: $0.40
CARD BRAND FEES:
05 0.01950 VS-NAPF-Credit $.00 $.10
01 VS-VS FANF CP $.00 $1.58
08 0.01550 VS-NAPF-Debit $.00 $.12
05 $705.00 0.1400 VS-ASSMNT CREDIT $.00 $.99
08 $963.00 0.1300 VS-ASSMNT DEBIT $.00 $1.25
13 $1,668.00 0.00180 VS-VS TRANSMFEE $.00 $.02
01 $30.00 0.1300 MC-ACQ Brand Volume $.00 $.04

PLAN CODES TRANSACTION CODES

VS -VISA
VL -VISA LARGE TICKET
VD -VISA DEBIT
VB -VISA BUSINESS
V$ -VISA CASH ADVANCE
MC -MASTERCARD DS -DISCOVER JC -JCB DB -DEBIT T -ALL PLANS D -DEPOSIT
ML -MASTERCARD LARGE TICKET DD - DISCOVER DEBIT EB -EBT PP -PAYPAL 1 -PLAN ONE C -CHARGEBACK
MD -MASTERCARD DEBIT DZ -DISCOVER BUSINESS AM -AMERICAN EXPRESS 2 -PLAN TWO A -ADJUSTMENT
MB -MASTERCARD BUSINESS DJ -DISCOVER JCB EC -ELECTRONIC CHECK 3 -PLAN THREE B -CHARGEBACK REVERSAL
M$ -MASTERCARD CASH ADVANCE D$ -DISCOVER CASH ADV AC -ACH as a Tran
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Fees - continued
Count Amount Rate % Rate Per Item Description Fees Paid: Total

01 0.01950 MC-NABU Auth $.00 $.02

01 $138.00 0.1400 DS-DS Assessment $.00 $.19
01 0.01900 DS-DS Ntwk Auth Fee $.00 $.02
15 $1,836.00 Kilobyte Fee $.00 $.19
01 $30.00 0.0195 MC Acquiring License Fee $.00 $.01
Total Card Brand Fees: $4.53
OTHER FEES:
PCI Compliance Fee $.00 $5.00
Monthly Fee $.00 $5.00
Total Other Fees: $10.00
Total Fees Due: $41.67

Fees Due: $41.67

Amount Deducted: $41.67